Individual
TARA LYN CLOUTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
307 EAST ST, BUFFALO, NY 14207-2516
(716) 860-1731
Mailing address
307 EAST ST, BUFFALO, NY 14207-2516
(716) 860-1731
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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